DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

BLAIR, DONNA K

001563660

(417) 546-3990

614 ROCKHILL DR
FORSYTH
MO  65653-5383

BLAIR, DONNA K

PO BOX 941
FORSYTH
MO  65653-0941

BLAIR, DONNA K

larryblair65614@yahoo.com


BILLIE RUSSELL

6 WEEKS - 12 YEARS

20

GROUP HOME AND CENTER

4 CHILDREN UNDER 24 MONTHS
 
Inspection Information

02/14/2022

10:50 AM

12:55 PM

UNANNOUNCED

COMPLIANCE MONITORING

2418157154


DocumentDocument-Date
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 12/08/2021
ANNUAL DECLARATION 12/08/2021
OWNER/PROVIDER REFERENCES 02/20/2001
SAMPLE WEEKLY MENU 12/01/2011
POLICIES 07/23/2009
LOCAL BUILDING APPROVAL 12/20/2001
LOCAL ZONING APPROVAL 12/20/2001
LINES OF ADMINISTRATIVE AUTHORITY 12/20/2001
JOB RESPONSIBILITIES 12/20/2001
DISCIPLINE POLICIES 07/23/2009
DIRECTOR'S QUALIFICATIONS 01/02/2001
DIAGRAM/OUTDOOR 10/28/2004
DIAGRAM/INDOOR 08/05/2004
DAILY SCHEDULE 12/01/2001
CHILD CARE PRACTICES 07/23/2009
LOCAL FIRE DEPARTMENT NOTIFICATION 07/10/2017
SANITATION INSPECTION 12/08/2021
FIRE/SAFETY INSPECTION 09/08/2021
APPLICATION 06/26/2019
STAFF SHEET 06/26/2019
EQUIPMENT LIST 12/08/2021
SAFE SLEEP POLICY 12/09/2019
DISASTER AND EMERGENCY PREPAREDNESS PLAN 12/09/2019

Overlap Start TimeOverlap End TimeOverlap Submit Date
  3:15PM   5:15PM   6/11/2013



Inspection determined facility to be in compliance with licensing rules.
Open Violations: 8
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 3
Total Children 22
StaffChildClass AgeNote
1 9 MIXED Caregiver, Tammy Pollard, was with nine (9) children ages; four (4) under 24 months old, four (4) two (2) year old, and one (1) three (3) year old.
0 1 PRESCHOOL One (1) four (4) year old child was unsupervised, in the back bathroom.
1 11 PRESCHOOL Caregiver, Donna Blair, was with eleven (11) four (4) and five (5) year old children in the Green Room.
1 1 PRESCHOOL Caregiver, Meghan Holvica, was with one (1) four (4) year old child in the Yellow Room.

 
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Violation
 Provider Comments
Violation
The number of children was/were exceeded as evidenced by there were 22 child in capacity.
Licensing Rule Reference
5 CSR 25-500.042 Licensing Process (18) states: The number and ages of children a group child care home or child care center is authorized to have in care at any one time shall be specified on the license and shall not be exceeded except as permitted within these rules.
Correction Required
The facility shall maintain compliance with the specifications on the license.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Compliance
5 CSR 25-500.087 Fire Safety
Compliance
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Violation
 Provider Comments
Violation
The requirements for obtaining 12 clock hours each calendar year were not met. For the calendar year of 2021, the staff listed need the following information: Donna Blair needs 6 clock hours, Tammy Pollard needs 12 clock hours, and Kate Turner needs 7 clock hours.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (3) (A) states: The center director, group child care home provider, all other caregivers, and those volunteers who are counted in staff/child ratios shall obtain at least twelve (12) clock hours of child-care related training during each calendar year. Clock hour training shall be approved by the department.
Correction Required
Required training hours shall be documented for each caregiver.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Staff/child ratio requirements were not met as evidenced by 9 children, ages 6 months to 3 years, were cared for by Tammy Pollard caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.

Correction Verification
Return Inspection

Compliance Date

Violation
Staff/child ratio requirements were not met as evidenced by 11 children, ages 3 and 4, were cared for by Donna Blair caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (E) states: Mixed Age Groups Two Years (2) and Up. Groups composed of mixed ages of children two (2) years of age and older shall have no less than one (1) adult to ten (10) children with a maximum of four (4) two (2)-year olds. When there are more than four (4) two (2)-year olds in a mixed group, the staff/child ratio shall be no less than one (1) adult to eight (8) children.
Correction Required
Correct staff/child ratios shall be maintained.

Correction Verification
Return Inspection

Compliance Date

5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.152 Hourly Care Facilities
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Violation
 Provider Comments
Violation
Caregiver did not provide frequent, direct contact as evidenced by a 4 year old child was placed in the back bathroom for time out.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (A) 3. states: Caregivers shall provide frequent, direct contact so children are not left unobserved on the premises.
Correction Required
The facility shall provide competent adult supervision for each child as required.

Correction Verification
Return Inspection

Compliance Date

Violation
Punishment or threat of punishment was associated with food, rest or toileting as evidenced by a 4 year old child was observed in the back bathroom for time out. The child and Donna Blair, both stated he was in time out for hitting.
Licensing Rule Reference
5 CSR 25-500.182 Child Care Program (1) (C) 9. states: Punishment or threat of punishment shall not be associated with food, rest, or toilet training.
Correction Required
Constructive, age-appropriate discipline shall be used; no physical punishment is permitted.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Violation
 Provider Comments
Violation
Criminal background check results were not on file for Donna Blair, Tammy Pollard and Kate Turner.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

Violation
Criminal background check results were not on file for Meghan Holvica.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a family child care home, group child care home, child care center, or license-exempt facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.

Correction Verification
Submit Documentation

Compliance Date

5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance